摘要
目的对比分析X线平片、CT及MRI在脊椎转移瘤中的诊断价值，探讨其临床适用性。方法选择2010年6月-2012年6月我院98例脊椎转移瘤患者，分别采用X线、CT和MRI进行检查和诊断，观察三种方法的影像学表现和检出情况。结果MRI的病变椎体检出率96.11%，明显高于X线的52.22%和CT的75.00%，差异有统计学意义(P <0.05)。结论常规的X线平片可以发现大部分脊椎转移瘤，CT可以显示普通X线平片不容易发现的早期少量骨质破坏，而MRI与常规X平片、CT比较，更加具有敏感性和特异性，可以更早地发现和诊断脊椎转移瘤。
Abstract
Objective To compare and analyze of X-ray, CT and MRI in the diagnosis of spinal metastases, to evaluate the different diagnostic advantage, and to explore its clinical applicability. Methods 98 patients with spinal metastases were selected in our hospital from June 2010 to June 2012,and all patients were using X-ray, CT and MRI examination and diagnosis. Then observed the imaging performance of the three methods and detection situation. Results The vertebra detection rate of X-ray was 52.22%, 75.00% detection rate of CT vertebra, MRI's vertebra detection rate of 96.11%, significantly higher than the detection rate of X-ray and CT diagnosis methods, the difference was statistically significant(P <0.05). Conclusions Conventional X-ray can find in the majority of spinal metastases and make a diagnosis, CT can show ordinary X-ray which is not easy to find a small amount of early bone destruction, while MRI is more sensitive and specificity, earlier detection and diagnosis of spinal metastases.
NETL
NSTL
维普
万方数据